title: [Arch aneurysm and ruptured innominate artery aneurysm with acute occlusion of trachea].
abstract: We reported on a case of 80-year-old woman who suffered from severe acute respiratory failure. A chest computed tomography (CT) revealed arch aneurysm and innominate artery pseudoaneurysm, which severely compressed main bronchus and trachea. After tracheal intubation in the emergency room, respiratory status improved rapidly. We immediately performed total arch replacement using deep hypothermia, circulatory arrest and the arch first technique. The postoperative course was uneventful, and stenosis of trachea resolved. Arch aneurysm associated with acute trachea occlusion is very rare and employing deep hypothermia, circulatory arrest and the arch first technique is useful for such atypical arch aneurysms.
authors.affiliation: Department of Cardiovasculer Surgery, Iizuka Hospital, Iizuka, Japan.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Uchida
authors.forename: Hiromi
authors.initials: H
authors.lastname: Ando
authors.forename: Toru
authors.initials: T
authors.lastname: Yasutsune
authors.forename: Akihiko
authors.initials: A
authors.lastname: Izumo
authors.forename: Fumio
authors.initials: F
authors.lastname: Fukumura
authors.forename: Jiro
authors.initials: J
authors.lastname: Tanaka
mesh_terms: D000208:Acute Disease; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000150:complications*; D017542:Aneurysm, Ruptured / Q000150:complications*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications*; D016122:Brachiocephalic Trunk; D005260:Female; D006801:Humans; D014135:Tracheal Stenosis / Q000209:etiology*